We have seen a few over the last 3 years we believed were more related to location of injection so bolstered vaccinator training in this regard and have not seen it this year.
T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health
UCLA
Health System and Campus
Office 310.825.9146
Fax 310.206.4585
Pager 800.233.7231 ID 27132
E-mail
twhudson@mednet.ucla.edu
Website
www.ohs.uclahealth.org
From: MCOH-EH [mailto:mcoh-eh-bounces+twhudson=mednet.ucla.edu@mylist.net]
On Behalf Of Galaid Edward I
Sent: Monday, November 16, 2015 11:00 AM
To: mcoh-eh@mylist.net
Subject: [MCOH-EH] SIRVA (Shoulder Injury Related to Vaccine Administration)
Half a dozen cases of SIRVA this flu season thus far. Not just a little localized tenderness. This is substantial impairment requiring work restrictions, weeks out from day of administration.
It’s behaving like a subacromial or subdeltoid bursitis.
Same group of nurses administering year-to-year with 1” needles.
Do your vaccine administrators use weight-based calculation to determine needle length?
Ed Galaid
Edward I. Galaid, MD, MPH
ABIM, ABPM
Medical Director, Occupational Health Partners
Roper St . Francis Charleston, SC
Member, ACOEM Task Group on Medical Guidance for Law Enforcement Officers
Member, NFPA 1582 Writing Group - NFPA Technical Committee on Fire Fighter Safety and Health
843-906-0519
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